Form NHTSA Form 1242 NHTSA Form 1242 NASS Law Enforcement Data Collection Form

National Automotive Sampling System Law Enforcement Information

Attachment_1_for_NASS_Law_Enforcement_PRA_-_Data_Collection_Form_111913_Rev[1]

National Automotive Sampling System Law Enforcement Information

OMB: 2127-0697

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OMB Control No. 2127-XXXX

Expiration Date XX/XX/XXXX

NASS Law Enforcement Data Collection Form

This collection of information is voluntary and will be used to develop a sampling frame of law enforcement agencies. Public reporting burden is estimated to average 120 minutes, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. We will not collect any personal information that would allow anyone to identify you. Please note that a federal agency many not conduct or sponsor and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB control number. The OMB control number for this collection is 2127-XXXX.

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Page 1 of

NHTSA Form 1242

Attachment 1

PRA Application for OMB Number 2127-XXXX, NASS Law Enforcement Information

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Donna G
File Modified	0000-00-00
File Created	2021-01-28